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HAZARD ASSESSMENT
Location:
Conducted By:
Date:
EYE HAZARDS
5
Chemical splashes or irritating mists
6
Excessive dust
7
8
Lasers/optical radiation
10
Projectiles
11
Yes No
x
x
x
Welding operations
No Recommended PPE
See Supplemental Information A for additional
information
Safety glasses or goggles
x
x
x
x
Yes
x
13
FACE HAZARDS
12 Chemical splashes or irritating mists
Yes
Recommended PPE
Hard hat, ANSI Z89, Class G, E or C
Safety goggles
Welding goggles; See Supplemental
Information A and B for additional information
Have URS HSE Representative assist you
in proper selection
Safety glasses or goggles plus face shield
Safety glasses or goggles plus face
shield; See Supplemental Information A
for additional information
No Recommended PPE
Safety goggles; See Supplemental
Information A for more information; add
face shield if irritating or corrosive
Welding goggles or welding helmet; see
Supplemental Information A and B for
Projectiles
HAND HAZARDS
15 Chemical exposure
x
Yes
x
16
17
18
19
20
21
22
FOOT HAZARDS
23 Heavy materials (greater than 50 pounds) handled
by employees
24 Potential to crush whole foot
25
26
x
x
x
x
x
x
x
No Recommended PPE
Safety shoes or boots
x
Slippery conditions
Chemical contamination
27
28
No Recommended PPE
Use chemical-resistant gloves specific to
hazard; consult MSDS, chemical hazard
guide, or HSE Representative
Yes
additional information
Safety glasses or goggles plus face shield
Wet conditions
Construction/demolition
FALL HAZARDS
31 Elevations above 4 feet (general industry) or 6 feet
(construction) without guardrails
32
33
34
x
x
Yes
No Recommended PPE
ANSI A-10.14 Type 1 full-body harness
x
x
x
WATER HAZARDS
35 Working on or above water where a risk of
drowning exists
Yes
No Recommended PPE
U.S. Coast Guard approved personal
x
floatation device; Type I, II, or III
Yes
No Recommended PPE
Cooling vest
x
RESPIRATORY HAZARDS
39 Airborne particulates, gases, vapors, or mists in
excess of established exposure limits
Yes
EXCESSIVE NOISE
40 Exposure to noise
BODY AND LEG PROTECTION
,41 Chemical exposure
42
43
x
x
No Recommended PPE
Refer to SMS 042 or URS HSE
Representative for respirator selection
guidance
Yes
x
No Recommended PPE
Ear plugs, muffs or both
Yes
No Recommended PPE
Contact URS HSE Representative for
assistance in proper selection
x Chainsaw chaps
Snake chaps
x
x